A Case of Angiodysplasia of the Jejunum, Diagnosed by Intraoperative Endoscopy

Abstract

Angiodysplasia of the intestine causing massive gastrointestinal bleeding is rare. A 54-year-old man presented to us with the complaint of tarry stools. An upper gastrointestinal endoscopy revealed no abnormalities. However, 2 days later, the patient developed massive gastrointestinal bleeding with hemorrhagic shock. Abdominal CT showed intraluminal extravasation in the upper small gut. On laparotomy, a 10-mm-long submucocal tumor (SMT) could be palpated in the jejunum and intraoperative gastroendoscopy also confirmed the SMT tumor. Resection of a 10-cm segment of the jejunum including the jejunal SMT was performed. Histopathological examination confirmed angiodysplasia of the jejunum. We report a rare case of jejunal angiodysplasia with a review of the literature.